RICHARD M HOLLOWAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

HOLLOWAY

Business Name

RICHARD M HOLLOWAY

Original Issue Date

06/26/1992

Effective Date

09/21/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023